RE'ONNA MOORE (NPI# 1346853025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346853025 |
| Entity Type | Individual |
| Full Name | RE'ONNA MOORE |
| Practice Address |
515 W 14th St Unit D Traverse City MI 49684-4059 |
| Practice Telephone | 2313922020 |
| Mailing Telephone | 2313922020 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
515 W 14TH ST UNIT D |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-4059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| 1821603127 | Anna Kohler | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684-4059 | 2020-09-14 |
| 1710590484 | Brianna Busby | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684-4059 | 2020-08-24 |
| 1225641996 | Brittany Burill | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684-4059 | 2020-08-24 |
| 1467063784 | Sarah Robarge | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684-4059 | 2020-08-11 |
| 1619587136 | Katlin Boyce | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684-4059 | 2020-08-10 |
| 1194333666 | Riley Van Houzen | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684-4059 | 2020-07-21 |
| 1871118778 | Victoria Call | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684-4059 | 2020-06-16 |
| 1396360277 | Abigail Biehl | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684-4059 | 2020-06-16 |
| 1811512700 | Sally Agee | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684-4059 | 2020-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1972059830 | Joy Counseling Inc | Community/Behavioral Health | 13561 S W Bay Shore Drive Suite 315, Traverse City, MI 49684 | 2016-08-31 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443686 | Janelle See | Behavior Technician | 10781 E Cherry Bend Rd, Traverse City, MI 49684-5249 | 2020-09-29 |
| 1619585924 | Christine Twietmeyer | Behavior Technician | 3881 Paddock Dr, Traverse City, MI 49685-8767 | 2020-07-22 |
| 1588281695 | Carly Overmire | Behavior Technician | 3000 Arborvitae Dr Apt 11, Traverse City, MI 49685-6708 | 2020-07-06 |
| 1386269181 | Kara Rickenberg | Behavior Technician | 5802 Joanne Ct, Traverse City, MI 49685-8650 | 2020-06-08 |
| 1689207821 | Suzanne M Threet | Behavior Technician | 4855 Waldon Cir, Traverse City, MI 49685-8915 | 2020-02-17 |
| 1245877208 | Jessica Marie Glowacki | Behavior Technician | 935 Hemlock St, Traverse City, MI 49686 | 2019-12-09 |
| 1073159109 | Ashleigh Marlene Cole | Behavior Technician | 10262 Timber Meadows Dr, Traverse City, MI 49685-7002 | 2019-11-25 |
| 1376184648 | Sherri Ann Bourgeois | Behavior Technician | 1520 Eastbriar, Traverse City, MI 49696-9125 | 2019-10-08 |
| 1942781901 | Alexandrea Marie Dickinson | Behavior Technician | 1363 Douglas Dr Ste 21f, Traverse City, MI 49696-8980 | 2018-08-27 |
| 1689168510 | Ray Andrew Wilson | Behavior Technician | 1363 Douglas Dr Ste 110, Traverse City, MI 49696-8980 | 2018-06-14 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.